Discharge Planning:

Return to the emergency department if:

 You have severe abdominal pain.

 You are too dizzy to stand up.
 You vomit blood or material that looks like coffee grounds.
 Your bowel movements are red or black, and sticky.
 You feel confused, unusually sleepy, irritable, or jittery.

Call your doctor if:

 You cannot drink liquids or keep food down.

 You are bruising easily.
 You have questions or concerns about your condition or care.

Medicines:

 Check with healthcare provider before taking any medicine. This includes over-
the-counter medicine, herbs, and vitamins. Healthcare provider may want you to
change some of the medicines, or stop them, until liver has recovered.
 Take medicine as directed. Contact healthcare provider if you think the medicine
is not helping or if there are side effects. Tell him of her if allergic to any
medicine. Keep a list of the medicines, vitamins, and herbs that you take. Include
the amounts, and when and why you take them. Bring the list or the pill bottles
to follow-up visits. Carry the medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your follow up visits.

Recommendation:

Advice Preventive measures.

- Hand Washing
- Cleaning of foods
- Purification of water
- Vaccines
Health Education
- Mass Media approach.
- Flyers/ pamplet on how to Prevent the spread of Hep A.
 - Inform client that Patient with Hep A are most contagious in the 2 weeks before
and the first week after they become jaundiced. Friends, sex partners, and family
members may need to get the hepatitis A vaccine.
- If client already have hepatitis A, it is too late to get the vaccine.
- Breaking channel of transmission by constructing sanitation barrier.
- Protection of susceptible by Immunization.
- Food Hygiene
- Avoiding food from street vendors or local cafeteria.

Manage hepatitis A:

 Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-

grain breads, low-fat dairy products, and lean meats and fish. Your healthcare
provider or dietitian may recommend that you limit protein foods such as milk,
fish, meat, and fatty foods. Protein and fat make your liver work harder. As you
feel better, you can add other kinds of foods.
 Do not drink alcohol. Alcohol can increase liver damage. Talk to your healthcare
provider if you drink alcohol and need help to stop.
 Drink more liquids. Liquids help your liver function properly.
 Get more rest. Rest if you are tired. Slowly return to normal activities when
client feels better.